14 Beckford St - C of A application - new paint colors Date Stamp
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Historical / DEPT. OF PLANNING &
Salent Commission qOMMUNiTY DEVELOPME T
rTC'N S'REE' ,� - For Office Use Only
APPLICATION FOR A CER'I'IFICATE'OF APPROPRIATENESS
Pursuant to the Historic Doi strut's Act( .G.L. Chapter 4flC)and the Salem Historical Commission-Ordinance,
application is hereby made for issuance of a Certificate of Appropriateness for:
❑ NewConstruction Moving ❑ Reconstruction ❑ Alteration
Demolition IPainting ❑ 'Sign ❑ Other
District: ❑Derby Street ❑Lafayette Street [ Vielntire ❑Washington Square
Address of Property: &Gam- o ,ee,
Name of Record Owner(s): ►Z`
Owner Mailing Address: �G� d �l�i. � 0
_i1Pac�rintinn of WorkPrnn egi
Please type or pri'lt clearly.Attach additioual sheets, as Necessary.
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Dame of App ' t: 06wner❑Contractor❑TenantoOther:
Signature: Date:
Tel. #: E-mail Address: �Y
Certificate will be mailed to the owner unless otherwise indicated here:
Certificate should be mailed to: Name
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:�lauGs5: �m vis*�=: rJai;ic:_Lr�iY.
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An application will not be considered complete unless all work items are thoroughly described and the application
includes all information needed for the Commission to make a determination.
Failure to submit a cotnialete ap2l cation mut�result in•:a:continuation,to,a future rrreetirr
Photos of existing conditions,taken from all public ways
Site plan showing location of improvements
Elevation drawings of the existing conditions and proposed improvements
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Drawings of detaffils,and other special conditions, including pro-files
EZIDescription,photographs, and/or catalog cuts of proposed materials (please bring to the
meeting product samples, if appropriate)
Dimensions(i.e.height of fence,size of pickets and.posts,etc.)
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Paint color samples,if applicable(no less than 2"x2")
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� Loptio and ize o all mechanical equipment, such as transformers,HVAC equipment,
' a ectrtcal r iee an titers•,and proposed screening.
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